Nursing Elites

1. A psychological disorder is said to have an acute onset if the symptoms develop ______, while it has an insidious onset if the symptoms develop ______.

• A. Suddenly;gradually
• B. Suddenly;atypically
• C. Gradually;atypically
• D. Atypically;suddenly

Correct answer: A

Rationale: An acute onset refers to the sudden development of symptoms, whereas an insidious onset indicates a gradual progression of symptoms. Therefore, the correct answer is 'Suddenly;gradually.' The other choices are incorrect because 'atypically' does not accurately describe the onset of symptoms in this context.

2. Michael, age 16, has recently gained a considerable amount of weight but has not grown any taller. His father experienced a similar pattern of growth when he was a teenager. Theorists who suggest that Michael’s growth pattern was inherited from his father emphasize the ________ side of the nature-nurture debate?

• A. Nature
• B. Nurture
• C. Environmental
• D. Experiential

Correct answer: A

Rationale: The correct answer is 'A: Nature.' In this scenario, the emphasis is on the genetic inheritance of the growth pattern from father to son, highlighting the role of nature in determining physical characteristics. Choice B, 'Nurture,' focuses on environmental influences, which are not the primary factor in this case. Choice C, 'Environmental,' is similar to 'Nurture' and does not address the genetic aspect mentioned. Choice D, 'Experiential,' pertains more to the learning and experiential aspects rather than genetic inheritance, making it an incorrect choice.

3. Finding meaning in life and dealing with death form core values in which of the following perspectives?

• A. Existential
• B. Humanistic
• C. Behavioral
• D. Object Relations

Correct answer: A

Rationale: The correct answer is A: Existential. Existentialism is a philosophical perspective that emphasizes individual existence, freedom, and choice. It focuses on finding meaning in life and dealing with fundamental issues such as death. This perspective is characterized by concepts like authenticity, responsibility, and the search for purpose. Choices B, C, and D are incorrect because while they may address certain aspects of human behavior or relationships, they do not specifically emphasize the search for meaning and the confrontation with death as core values.

4. Charles has suffered from schizophrenia for many years and now resides in a group treatment facility. One day a nurse approaches him and quietly tells him that his sister, who has been fighting cancer for many months, died that morning. Charles has no appreciable facial reaction and in a very monotone voice says, 'okay.' The nurse is not surprised by Charles's lack of response to the awful news because she knows that _________ is one symptom often seen in those suffering from schizophrenia?

• A. Clang associations
• B. Echolalia
• C. Blunted affect
• D. Perseveration

Correct answer: C

Rationale: In individuals with schizophrenia, blunted affect, or reduced emotional expression, is a common symptom. In this scenario, Charles's lack of emotional response upon hearing about his sister's death aligns with the characteristic of blunted affect. This symptom can manifest as a limited range of facial expressions, monotone voice, and reduced display of emotions. Choice A, 'Clang associations,' refers to a thought disorder characterized by the use of words that sound alike but are not logically connected. Choice B, 'Echolalia,' is the repetition of words spoken by others. Choice D, 'Perseveration,' is the persistent repetition of a response or behavior even when it is no longer appropriate.

5. Which of the following is a common effect of persistent discrimination?

• A. Increased happiness
• B. Greater intelligence and wisdom
• C. Cardiovascular reactivity
• D. Increased consciousness

Correct answer: C

Rationale: The correct answer is C: Cardiovascular reactivity. Persistent discrimination can have negative impacts on an individual's physical health, leading to increased cardiovascular reactivity. This can manifest as higher blood pressure, heart rate, and overall stress on the cardiovascular system. Choices A, B, and D are incorrect because persistent discrimination typically does not result in increased happiness, greater intelligence and wisdom, or increased consciousness. Instead, it often leads to detrimental effects on mental and physical health.

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